| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,180 |
1,111 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,625 |
1,499 |
$17K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
65 |
65 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
273 |
266 |
$2K |
| 93000 |
|
268 |
267 |
$2K |
| 96132 |
|
12 |
12 |
$714.21 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
97 |
89 |
$466.63 |
| 96138 |
|
12 |
12 |
$227.99 |
| 82950 |
|
387 |
348 |
$30.16 |
| 90656 |
|
24 |
24 |
$6.64 |
| 90688 |
|
17 |
17 |
$2.82 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
36 |
36 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
57 |
56 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
40 |
40 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
80 |
80 |
$0.00 |
| 3008F |
|
24 |
24 |
$0.00 |
| 96119 |
|
13 |
13 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
36 |
36 |
$0.00 |
| 90756 |
|
34 |
34 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
27 |
26 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
16 |
16 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |